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Comparison efficacy and safety of acupuncture and moxibustion therapies in breast cancer-related lymphedema: A systematic review and network meta-analysis

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  • Yawen Xu
  • Jiangxuan Yu
  • Rui Shen
  • Xueqi Shan
  • Wenlu Zhou
  • Junjie Wang

Abstract

Objective: Although several acupuncture and moxibustion therapies have been tested in managing breast cancer-related lymphedema (BCRL), there is little consensus regarding the best options for treating this condition. This systematic review and network meta-analysis compared the efficacy of various acupuncture and/or moxibustion therapies for BCRL. Methods: Seven databases and two clinical registration centers were searched from their inception to December 1st, 2023. The Cochrane Collaboration risk-of-bias assessment tool evaluated the quality of included RCTs. A pairwise meta-analysis was performed in STATA 16.0, while a network meta-analysis was performed in R 4.2.2. Results: 18 studies were included in this analysis. Our results showed that acupuncture and moxibustion methods had great advantages in improving BCRL of patients with breast cancer. In particular, needle-warming moxibustion (NWM) could be the optimal acupuncture and moxibustion method for improving clinical effectiveness and reducing the degree of swelling of affected limbs. Conclusion: Our findings suggest that NWM has great potential in treating BCRL. It may reduce arm circumference, lower swelling levels, and improve clinical effectiveness. Nevertheless, more multi-center, high-quality, and large sample RCTs will be needed in the future.

Suggested Citation

  • Yawen Xu & Jiangxuan Yu & Rui Shen & Xueqi Shan & Wenlu Zhou & Junjie Wang, 2024. "Comparison efficacy and safety of acupuncture and moxibustion therapies in breast cancer-related lymphedema: A systematic review and network meta-analysis," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-19, May.
    • Handle: RePEc:plo:pone00:0303513
    DOI: 10.1371/journal.pone.0303513
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